Writing content for social media? Protect yourself!

By |Apr 7, 2013|Categories: Medical Education, Social Media & Tech|

In the past few months, this blog has been successful in working with Google to remove pirating sites, which directly cut and paste all of our content (including PV cards!) directly into their own blog as their own. This broaches the greater question of disclaimers, copyright, and privacy. Last month, Dr. Steve Carroll (EM Basic) nicely summarized these issues and constructed nice language for anyone’s social media productions. In fact, with his permission, I have incorporated much of the wordings into this blog’s disclaimer section (bottom of About Us). [+]

Be a great speaker: 10 practical pearls (part 4 of 5)

By |Apr 6, 2013|Categories: Medical Education|

For the CORD Distinguished Educator’s Coaching Program, Dr. Gus Garmel has kindly offered to share his top 50 points to improve one’s speaking skills. These tips are great for anyone who plans to do public speaking. Thus far, this “be a great speaker” series has reviewed 30 pearls. [+]

Rivaroxaban for Pulmonary Embolism: One pill and done?

By |Apr 3, 2013|Categories: Cardiovascular, Pulmonary, Tox & Medications|

With Dr. Jeff Tabas giving a lecture on the perennially hot topic of pulmonary embolism (PE) at the upcoming UCSF High Risk EM Conference (main link, PDF Brochure) in San Francisco May 22-24, 2013, I thought I would get a sneak peek into his discussion points. Rivaroxaban for Pulmonary Embolism: One pill and done? By Prathap Sooriyakumaran, MD and Jeffrey Tabas, MD UCSF-SFGH Emergency Medicine [+]

Is ATLS wrong about palpable blood pressure estimates?

By |Mar 31, 2013|Categories: Trauma|

In Advanced Trauma Life Support (ATLS), we learned that a carotid, femoral, and radial pulse correlates to a certain systolic blood pressure (SBP) in hypotensive trauma patients.  Specifically ATLS stated:  Carotid pulse only = SBP 60 – 70 mmHg  Carotid & Femoral pulse only = SBP 70 – 80 mmHg  Radial pulse present = SBP >80 mmHg [+]

Be a great speaker: 10 practical pearls (part 3 of 5)

By |Mar 30, 2013|Categories: Medical Education|

For the CORD Distinguished Educator’s Coaching Program, Dr. Gus Garmel has kindly offered to share his top 50 points to improve one’s speaking skills. These tips are great for anyone who plans to do public speaking. Thus far, this “be a great speaker” series has reviewed 20 pearls. [+]

Sim Case: Cocaine toxicity and placental abruption

By |Mar 29, 2013|Categories: Medical Education, Simulation|Tags: |

Case Synopsis 17 yo girl, 24 weeks pregnant, is brought to the ED with an overbearing, controlling, and older boyfriend (BF). The chief complaint is abdominal discomfort and vaginal spotting. The patient is initially reluctant and quiet, but then gets hysterical as the case progresses. Upon questioning, the patient admits that she took cocaine prior to arrival to induce an abortion, because her BF is married and does not want her to keep the baby. The patient becomes altered and goes into a shock state from significant vaginal bleeding. Blood work shows significant anemia, acute renal failure, and coagulopathy. [+]

ALiEM simulation case series

By |Mar 29, 2013|Categories: Medical Education, Simulation|Tags: |

One of my interests is medical simulation and the writing of simulation cases. I have already written two related posts: Case Writing and Story Board Writing. I believe that simulation is a wonderful modality to engage learners, teach critical EM concepts, and keep the patients safe. [+]

  • Chest Pain Check List

Chest Pain: What is the Value of a Good History?

By |Mar 28, 2013|Categories: Cardiovascular|

Every year there are 6 million visits to the Emergency Department (ED) for chest pain, and approximately 2 million hospital admissions each year.1 This is approximately about 10% of ED visits and 25% of hospital admissions with 85% of these admissions receiving a diagnosis of a non-ischemic etiology to their chest pain (CP).2 This over triage has enormous economic implications for the US health care system estimated at $8 billion in annual costs. [+]